员工服务
— Staff services—
本地生育
时间: 2020-12-08
<p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><span style="font-weight:bold;font-size:14px;">一、</span><strong><span style="font-size:14px;">生育保险待遇标准</span></strong></span> </p> <table border="2" bordercolor="#000000"> <tbody> <tr class="firstRow"> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:59px;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">项 &nbsp;目</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:justify;"> <br /> </p> <div style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">医疗费用</span></strong> </div> <strong> <div style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">(最高结算标准</span></strong> </div> </strong> <p> <br /> </p> <p style="text-align:left;text-indent:28px;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">单位:元)</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:15px;text-align:justify;"> <br /> </p> <div style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">生育津贴</span></strong> </div> <strong> <div style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">(单位:月)</span></strong> </div> </strong> <p> <br /> </p> </td> <td width="214" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:44px;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">生育津贴标准</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">产前检查</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;text-indent:28px;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">800</span></strong> </p> </td> <td width="96" valign="center" style="text-align:left;background:#548DD4;" class="selectTdClass"> <span style="font-size:14px;">&nbsp; &nbsp; &nbsp; &nbsp; </span><strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">&nbsp; /</span></strong> </td> <td width="232" valign="center" rowspan="7" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">按照职工所在用人单位上年度职工月平均工资计发。★★由社保局系统自动核算、发放。</span></strong> </p> <p style="text-align:left;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">备注:</span></strong> </p> <p style="text-align:left;"> <span style="font-family:宋体;color:#FFFFFF;font-size:14px;">①女职工流产享受生育津贴限于1次</span> </p> <p style="text-align:left;"> <span style="font-family:宋体;color:#FFFFFF;font-size:14px;">②机关事业单位、领取失业保险金期间的女性失业人员、灵活就业人员不享受生育津贴待遇</span> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">顺产</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">3000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">自愿剖宫产</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">3000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">剖 宫 产</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">5000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">5.5</span></strong> </p> </td> </tr> <tr> <td width="166" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">门诊流产</span></strong> </p> </td> <td width="121" valign="bottom" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">300</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">1</span></strong> </p> </td> </tr> <tr> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">3个月以下住院流产</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">500</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">1</span></strong> </p> </td> </tr> <tr> <td width="166" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">3个月以上7个月以下</span></strong> </p> <p style="text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">住院流产</span></strong> </p> </td> <td width="121" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">1000</span></strong> </p> </td> <td width="96" valign="center" style="background:#548DD4;" class="selectTdClass"> <p style="text-indent:28px;text-align:center;"> <strong><span style="font-family:宋体;color:#FFFFFF;font-size:14px;">1.5</span></strong> </p> </td> </tr> </tbody> </table> <p> <br /> </p> <p> <br /> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;"><strong>二、</strong></span><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">生育待遇享受对象</span></strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">(下述三类对象,简称“参保对象”)</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">1、女职工连续参加医疗保险满6个月后生育的(计算月份不含补缴月份生育保险);</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">2、女性失业人员在领取失业保险金期间生育的;</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">3、参加我市职工医保的灵活就业人员连续足额缴费满6个月后生育的。</span> </p> <p> <span style="font-size:14px;font-family:arial, helvetica, sans-serif;">&nbsp;</span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">三、合肥</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">本地生育</span></strong> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><strong><span style="font-size:14px;">1</span></strong><strong><span style="font-size:14px;">、生育备案</span></strong></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span></strong> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="color:#000000;font-size:14px;"><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">网上办理:</span></strong></span> </p> <p style="font-family:&quot;font-size:14px;color:#333333;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;color:#000000;"></span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">生育备案参保对象自确诊怀孕后3个月内,准备以下材料关注“合肥医保”微信公众号线上办理备案:</span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">关注“合肥医保”微信公众号并登陆—“服务大厅”—“生育报销”—“生育备案”—按照要求填写信息,上传材料进行备案:</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">①本人社会保障卡;②生殖保健服务证或生育证;③结婚证;④孕产妇保健手册。</span> </p> <p> <br /> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">2、</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">产检费用和生育住院费用</span></strong><strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">报销</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">员工在备案的定点医院出示本人社会保障卡原件实时结算报销。具体流程请咨询备案医院医保部门。</span> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"><br /> </span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">3、生育津贴领取</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">备案时有社会保障卡的,生育津贴将于出院结账后的下一个月30号开始逐月发放至您的金融社保卡中。</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">备案时无社保卡的,生育津贴将于出院结账后的下一个月30号开始发放,生育津贴逐月发放至徽商银行花园街支行,本人凭身份证原件到银行领取。</span><strong></strong> </p> <p class="MsoNormal"> <strong><br /> </strong> </p> <p class="MsoNormal"> <strong>流产津贴领取</strong> </p> <p class="MsoNormal"> <span>医疗终结或产假后</span><span>1个月内带以下材料到合肥市医保中心生育经办窗口办理。</span><span>(</span><span style="color:#E53333;">6月30日前前台可以受理,之后在合肥医保微信公众号申请,合肥医保-进入服务大厅-业务办理-生育保险-定点医院流产的津贴申报-按要求上传相关材料原件照片</span>) </p> <p> <br /> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;"></span> </p> <p> <strong><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">4、变更生产医院</span></strong> </p> <p> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;">可通过</span><span style="font-family:arial, helvetica, sans-serif;font-size:14px;">“合肥医保” 微信公众号 “服务大厅”—“生育保险”—“备案转移” 变更备案医院。</span> </p> <p> <br /> </p> <p> <br /> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:20px;color:#FF0000;"><strong><span style="font-size:14px;">【</span><strong><span style="font-size:14px;">注意事项</span></strong><span style="font-size:14px;">】</span></strong></span> </p> <p style="font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:14px;">1</span><span style="color:#000000;font-family:arial, helvetica, sans-serif;font-size:14px;">、出国、赴港、澳、台地区生育的,不属于保障女职工生育期间基本生活和基本医疗保健需要,不能办理备案。</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">2、在定点医院生育且备案的参保对象无需再到医保中心办理备案,生育津贴也无需再到医保中心申报;</span> </p> <p style="color:#3F3E3F;font-family:-apple-system-font, BlinkMacSystemFont, &quot;font-size:14px;text-align:justify;background-color:#FFFFFF;"> <span style="font-family:arial, helvetica, sans-serif;font-size:14px;color:#000000;">3、不管是定点医院生育还是异地生育,都需备案成功之后才能报销产前检查费用。</span> </p> <p> <span style="font-family:宋体;"></span> </p> <p> <br /> </p>
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